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Individual

CHRISTA A PITTNER-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
21 S VINE ST, BELLEVILLE, WI 53508-9179
(608) 424-1381
(608) 424-6353
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61465-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
61465-20
WI

Other

Enumeration date
04/27/2012
Last updated
01/15/2021
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